TY - JOUR T1 - ERCA study. Baseline characteristics, evaluation of the application of a structured information proccess for the election of renal replacement therapy and one-year follow up of incident patients in the Advanced Chronic Kidney Diseaseoutpatient clinic JO - Nefrología (English Edition) T2 - AU - Guerrero Riscos,María Angeles AU - Toro Prieto,Francisco Javier AU - Batalha Caetano,Paula AU - Salgueira Lazo,Mercedes AU - González Cabrera,Fayna AU - Marrero Robayna,Silvia AU - Santana Estupiñán,Raquel AU - Álvarez Martín,Carlos SN - 20132514 M3 - 10.1016/j.nefroe.2019.02.008 DO - 10.1016/j.nefroe.2019.02.008 UR - https://revistanefrologia.com/en-erca-study-baseline-characteristics-evaluation-articulo-S2013251419301634 AB - Introduction and objetivesTo analyze evolution of Chronic Kidney Disease stage 4–5 (ACKD) patients and influence of the information they receive (educational process, EP) in modality Renal Replacement Therapy (RRT) or conservative treatment (CT) in multidisciplinar ACKD outpatient clinic. Material and MethodsProspective, multicenter study (3 centers). Inclusion: from June-01-2014 to October-01-2015; observation: 12 months or until start RRT or death if they occur before 12 months; ends October-01-2016. Results336 patients were included (60 % males), median and intercuartile rank 71.5 (17), 55 % ≥70 years; Follow up initiation eGFR CKD-epi: 21 (9)ml/min/1.73m2; Charlson Index (ChI) with/without age 8 (3)/4 (2); Diabetic patients: 52,4%. The EP was carried out in 168, eGFR 15 (10)ml/min/1.73m2. The initial treatment election: Kidney trasplant 3%, 26 % peritoneal dialysis (PD), 45 % hemodyalisis (HD), 26 % CT; 60 patients started RRT: 3.3% kidney traspant; 30% PD, 66% HD; 104 hospital admissions in 73 patients, the most frequent cause: cardiovascular disease (42 %). Decesed: 23 patients (6.8 %). Age higher 78.4 (6) vs 67.8 (13.4) years p<0.001, ChI higher 9.8 (2.1) vs 7.4 (2.5) p<0.001. All deceased who received EP had chosen CT; 61 % of deceased had at least one hospital admission vs 39 % alive (p<0.001). Cox regression: age and hospital admissions were the predictive mortality variables. ConclusionsThe population of ACKD patients is elder, comorbid, with high hospitalizations rate. The PD election is higher than usual. The EP has been very useful tool and has favored the PD choice. ER -